Organization
INDO AMERICAN PEDIATRICS P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LYUDMILA SORKIN NP (NURSE PRACTITIONER)
(718) 396-9643
Entity
Organization
Contact information
Practice address
8020 BROADWAY, SUITE 1F, ELMHURST, NY 11373
(718) 396-9643
(718) 396-9645
Mailing address
8020 BROADWAY, SUITE 1F, ELMHURST, NY 11373
(718) 396-9643
(718) 396-9645
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381862
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
03/12/2012
Last updated
03/12/2012
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